Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CATALYST, INC

NPI: 1053401869 · MADISON, WI 53705 · Home Health Agency · NPI assigned 10/13/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$3.49M
Total Medicaid Paid
34,214
Total Claims
2,045
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPHILPOTT, JACQUELINE (ADMINISTRATOR/OWNER)
NPI Enumeration Date10/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,399 $641K
2019 5,844 $521K
2020 3,940 $500K
2021 4,466 $530K
2022 4,096 $531K
2023 3,527 $392K
2024 4,942 $375K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 33,319 1,570 $3.42M
S5150 Unskilled respite care, not hospice; per 15 minutes 437 36 $53K
99509 Home visit for assistance with activities of daily living and personal care 458 439 $19K